traMADol
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines (Note: “Therapeutic Interchange” should be placed in the order comments
Tramadol & Tramadol Combo Formulations (as of 6/2023)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
Tramadol Extended Release
Ultram ER
ConZip
Tablets, Capsules
70352
152131
100mg Daily
Tramadol
Tablets
14632
25 mg every 6 hours
70353
152132
200mg Daily
50 mg every 6 hours
70354
152133
300mg Daily
100 mg every 8 hour
Acetaminophen/Tramadol
(325mg/37.5mg)
Ultracet
31288
2 tablets every 4-6 hours PRN pain
Acetaminophen
102
650 mg Same as ordered
100 mg Same as ordered
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Tramadol & Tramadol Combo Formulations (as of 6/2023)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
ERX
Dose and Frequency
Tramadol Extended Release
Ultram ER
ConZip
Tablets, Capsules
70352
152131
100mg Daily
Tramadol
Tablets
14632
25 mg every 6 hours
70353
152132
200mg Daily
50 mg every 6 hours
70354
152133
300mg Daily
100 mg every 8 hour
Acetaminophen/Tramadol
(325mg/37.5mg)
Ultracet
Tablets
31288
2 tablets every 4-6 hours PRN pain
Acetaminophen
Tablets
102
650 mg Same as ordered
Tramadol
14632
100 mg Same as ordered